Individual
MRS. ALICIA ANN ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6377 RIVERSIDE AVE STE 203, RIVERSIDE, CA 92506-3155
(951) 500-1087
Mailing address
375 CENTRAL AVE UNIT 199, RIVERSIDE, CA 92507-6594
(909) 533-9809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20118
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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